HORNG D FAN


Address: 2648 International Blvd, Ste 501, Oakland, CA 94601-1506
Phone: 5105338488

HORNG D FAN (NPI# 1386722262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386722262
Entity Type Individual
Full Name HORNG D FAN
Credential MD
Practice Address 2648 International Blvd
Ste 501
Oakland
CA 94601-1506
Practice Telephone 5105338488
Practice Fax Number 5105338402
Mailing Telephone 5105338488
Mailing Fax Number 5105338402
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice A33901 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A339010 05

Office Location

Street Address 2648 INTERNATIONAL BLVD
STE 501
City OAKLAND
State CA
Zip Code 94601-1506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750895496 Amore Hospice, Inc. Hospice Care, Community Based 2648 International Blvd, Oakland, CA 94601-1506 2017-11-16
1962938993 Amore Home Health, LLC Home Health 2648 International Blvd, # 301, Oakland, CA 94601-1506 2017-05-11
1922548601 Northern California Occupational Clinic Inc Physical Medicine & Rehabilitation 2648 International Blvd, Suite 302, Oakland, CA 94601-1547 2017-03-01
1932650470 Phoebe Woerner Student in an Organized Health Care Education/Training Program 2648 International Blvd, Oakland, CA 94601-1506 2016-10-19
1861864357 Leticia Gomez Student in an Organized Health Care Education/Training Program 2648 International Blvd, Oakland, CA 94601-1506 2015-10-23
1114302429 Cynthia Levitas Counselor 2648 International Blvd, Brighter Beginnings, Oakland, CA 94601-1506 2015-07-28
1023406337 Carolina Padilla Case Manager/Care Coordinator 2648 International Blvd, Oakland, CA 94601-1506 2015-01-08
1295133510 Rita Calzadilla Social Worker 2648 International Blvd, Oakland, CA 94601-1506 2014-12-18
1982009726 Maresha Wagner Social Worker 2648 International Blvd, Oakland, CA 94601-1506 2014-10-22
1679976385 Sophia Baptista Student in an Organized Health Care Education/Training Program 2648 International Blvd, Oakland, CA 94601-1506 2014-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
1730704289 Francheska Baloy Student in an Organized Health Care Education/Training Program 13585 San Pablo, San Pablo, CA 94601 2020-06-10
1104476597 Jonathan Ramos Santiago Social Worker 13585 San Pablo, 1st Floor, San Pablo, CA 94601 2019-09-17
1205329802 Stefany Menjivar Student in an Organized Health Care Education/Training Program 3908 International Blvd, Oakland, CA 94601 2018-06-08
1710408430 Martha Alicia Rea Physician Assistant 3301 E. 12th St, Suite 113, Oakland, CA 94601 2017-07-03
1922528744 Jamie Erin Briskin Social Worker 3001 International Blvd., Oakland, CA 94601 2017-06-22
1194254706 Emily Lohmeyer Student in an Organized Health Care Education/Training Program 1501 Fruitvale Avenue, Oakland, CA 94601 2017-06-07
1124551494 Emily Chana Wolfe-roubatis Midwife 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 2017-04-04
1417327776 Ninfa M. Gutierrez Counselor 3124 International Blvd., Oakland, CA 94601 2015-09-30
1942600424 Reliable Care Express, Inc. Non-emergency Medical Transport (VAN) 828 27th Ave, Oakland, CA 94601 2014-09-03
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588121537 Recode Health General Practice 1850 Mountain Blvd, Oakland, CA 94611-2265 2019-02-26
1033661962 Michael Mustille General Practice 6201 Swainland Rd, Oakland, CA 94611-1841 2016-10-26
1659753614 Wanda Heffernon General Practice 2360 Scout Rd, Oakland, CA 94611-2724 2015-06-25
1457798159 Gregory Allen Niederhauser General Practice 1541 W Buell Rd, Oakland, MI 48363-2331 2013-06-04
1720334279 Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. General Practice 341 9th Street, Suite A, Oakland, CA 94607 2012-08-01
1629334032 Kristian Shinyu Gima General Practice 1438 3rd St Unit B, Oakland, CA 94607-1806 2012-04-10
1396019303 Owen Shibata General Practice 2100 Embarcadero, Oakland, CA 94606-5302 2012-03-08
1548415979 John Karl Konstantin General Practice 2584 Macarthur Blvd, Oakland, CA 94602-2928 2008-11-26
1790909588 Edward Sanders General Practice 3706 Telegraph Ave, Oakland, CA 94609-2418 2007-04-12
1700943412 Anh Trung Do General Practice 919 Harrison Street, Suite A, Oakland, CA 94607-4494 2007-01-02
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Competitor

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City OAKLAND
Zip Code 94601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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